ABSTRACT

Aim

To pilot-test the effectiveness of a online compassion-focused crisis intervention for persons who were diagnosed with brief psychotic disorder and were still at high risk for a psychotic episode at the Italian announcement of lockdown on March 9^th, 2020.

Methods

Six patients who, at the moment of the lockdown, were treated through different psychotherapy approaches and antipsychotic drugs for a first brief psychotic episode accessed a 4-week online compassion-focused intervention comprising a weekly individual video-call session, and an open messenger service with audio-recorded compassion focused practices. Primary outcome (general symptomatology) was assessed one‐week before and at the end of the intervention. Secondary outcomes (depression, anxiety and stress symptoms) were assessed daily during the intervention, for a total of 28 days.

Results

Five of six participants demonstrated a reliable change in both primary and secondary outcomes, and no one reported acute psychotic episodes during the lockdown. All participants reported a stable or increased working alliance.

Conclusion

These data provide the preliminary feasibility and effectiveness of a brief online compassion-focused crisis intervention for patients diagnosed with a brief psychotic disorder, in situations where the telepsychology is offered, unplanned, as the only possible treatment option.

中文翻译：

---

在COVID-19锁定期间进行的针对同情心的在线危机干预：关于精神病高危患者的病例系列

摘要

目标

在2020年3月9^日意大利宣布封锁之时，对诊断为短暂性精神病但仍处于精神病高发风险的人群进行以在线同情心为重点的危机干预措施的试点测试。

方法

六名患者在锁定之时通过不同的心理治疗方法和抗精神病药物治疗了第一次短暂的精神病发作，他们接受了为期4周的在线同情心干预，包括每周一次个人视频通话和一次开放式Messenger服务记录有同情心的录音练习。在干预前和干预结束后一周评估主要结局（一般症状）。干预期间每天评估次要结局（抑郁，焦虑和压力症状），共28天。

结果

六名参与者中有五名在主要和次要结局方面均显示出可靠的变化，并且在锁定期间没有人报告急性精神病发作。所有参与者均报告称稳定或增加了工作联盟。

结论

这些数据为诊断为短暂性精神病的患者提供了简短的在线以同情心为重点的危机干预措施，在仅有远程治疗的情况下提供了计划外的远程心理干预，这是唯一可能的治疗选择。